KEVIN L KUKLA OD - Optometrist License in Illinois | # 047088146

KEVIN L KUKLA OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047088146

License Status

NOT RENEWED

Business

N

First Name

KEVIN

Middle

L

Last Name

KUKLA

Suffix

OD

Business Name

KEVIN L KUKLA OD

Original Issue Date

04/06/1996

Effective Date

06/04/2004

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005